Department:

10132 Enterprise Corporate - Quality Management and Regulatory

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

40

Schedule Details/Additional Information:

Education: Master's Degree in public health nursing, healthcare administration, or related field

Experience: 5-10 years of progressive experience in quality or healthcare risk management within a complex healthcare setting

Pay Range

$66.85 - $100.30

Major Responsibilities:

Leadership and Collaboration 

Provide strategic leadership on document management, provide expert guidance on strategy, while mitigating regulatory risks. 

Lead and mentor a team of document management professionals, policy coordinators, and administrative staff; collaborate with clinical and operational leaders to ensure alignment and integration of document management practices. 

Report on key performance indicators and improvement initiatives to executive leadership. 

 

Policy System Oversight 

Lead the management and continuous improvement of the organization’s policy management system and related tools; ensure timely review, approval, and dissemination of policies, procedures, and guidelines. 

Monitor compliance with policy development and maintenance timelines and standards. 

 

Regulatory Compliance 

Ensure all documentation practices meet applicable federal, state, and local healthcare regulations (e.g., Joint Commission, CMS, etc.) and accreditation standards. 

Coordinate regulatory reviews and readiness assessments related to document and policy management. 

Serve as the primary point of contact for regulatory bodies on document management matters. 

 

Tools, Training, and Education 

Manage the electronic document solution and its related processes, including oversight of access and downtime procedures. 

Develop and deliver training programs for staff on document management processes, tools, and regulatory requirements while promoting a culture of compliance and continuous improvement through ongoing education and support. 

Partner with service line leaders to develop and implement enterprise-wide quality strategies. 

Minimum Job Requirements 

Education

Master’s degree in public health, nursing, healthcare administration, or a related field is required 

Certification / Registration / License 

Experience

Minimum 5-10 years of progressive experience in quality or healthcare risk management within a complex healthcare setting

Knowledge / Skills / Abilities 

Proven ability to inspire and mobilize interdisciplinary teams toward shared goals, build consensus, and foster alignment across multidisciplinary teams and diverse stakeholder groups. 

Exceptional verbal, written, and presentation skills, with the ability to convey complex concepts clearly and persuasively to diverse audiences. 

Advanced proficiency in data analysis, problem-solving, and translating insights into actionable improvement strategies. 

Skilled at building effective partnerships and navigating organizational dynamics to achieve patient safety objectives. 

Commitment to ethical standards, confidentiality, and continuous learning. 

Proficient in project management and continuous improvement methodologies, with a track record of delivering measurable results. 

Demonstrated emotional intelligence, integrity, and discretion when navigating sensitive topics such as patient harm, regulatory risk, and cultural readiness. 

Adept at navigating ambiguity and shifting priorities with resilience, sound judgment, and a solutions-oriented mindset. 

Experience leading teams, mentoring leaders, and driving cross-functional collaboration across multiple levels of an organization. 

Physical Requirements and Working Conditions

Requires regular travel across Advocate Health facilities and regions to engage with local leaders, support operational execution, and assess program effectiveness on-site. 

Operates in both clinical and administrative environments, with occasional exposure to healthcare settings. 

Preferred Job Requirements 

Education

Experience

Knowledge / Skills / Abilities 

All responsibilities and requirements are subject to possible modification to reasonably accommodate individuals with disabilities. 

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

Our Commitment to You:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

Compensation

Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or trainingPremium pay such as shift, on call, and more based on a teammate's jobIncentive pay for select positionsOpportunity for annual increases based on performance

Benefits and more

Paid Time Off programsHealth and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term DisabilityFlexible Spending Accounts for eligible health care and dependent care expensesFamily benefits such as adoption assistance and paid parental leaveDefined contribution retirement plans with employer match and other financial wellness programsEducational Assistance Program

About Advocate Health 

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.